Individual
PAULETTE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1617 S 67TH AVE, PHOENIX, AZ 85043-7717
(623) 707-2251
Mailing address
38462 410TH ST, HERON LAKE, MN 56137-2024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7128
AZ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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